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Teaching Family Nurse Practitioner Students to Provide Mental Health Care to Older Adults

In recent years, FNPs have been challenged to deliver mental health services in the primary care setting. Over half of mental health services are provided in primary care, and one-quarter of all primary care patients have a mental disorder. Moreover, 20% of older adults have a mental or neurological...

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Autores principales: Grando, Victoria, Grando, Roy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7740665/
http://dx.doi.org/10.1093/geroni/igaa057.034
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author Grando, Victoria
Grando, Roy
author_facet Grando, Victoria
Grando, Roy
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description In recent years, FNPs have been challenged to deliver mental health services in the primary care setting. Over half of mental health services are provided in primary care, and one-quarter of all primary care patients have a mental disorder. Moreover, 20% of older adults have a mental or neurological disorder often not diagnosed. Nationally, it is estimated that 17% of older adults commit suicide, 15% have a mental condition, 11% have dementia, and 5% have a serious mental condition. There is a paucity of adequately prepared primary care providers trained in geropsychiatric treatment. A didactic course was developed to instruct FNP students in the skills needed to provide mental health treatment in primary care. We discuss mental illness in the context of culture to ensure that treatment is congruent with a patient’s unique cultural background and experiences. This shapes the patients’ beliefs and behaviors that influence the way they view their condition and what they perceive as acceptable solutions. We then go into detail about the common mental conditions that older adults exhibit. Through the case study method, students learn to identify the presenting problem, protocols for analyzing the case, which includes making differential diagnoses and a treatment plan including initial medications, non-medical treatments, and referral. Students are introduced to the DMS-5 to learn the criteria for mental health diagnosis with an emphasis on suicide, depressive disorders, anxiety disorders, bipolar disorders, substance use disorders, and neurocognitive disorders. We have found that students most often misdiagnose neurocognitive disorders.
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spelling pubmed-77406652020-12-21 Teaching Family Nurse Practitioner Students to Provide Mental Health Care to Older Adults Grando, Victoria Grando, Roy Innov Aging Abstracts In recent years, FNPs have been challenged to deliver mental health services in the primary care setting. Over half of mental health services are provided in primary care, and one-quarter of all primary care patients have a mental disorder. Moreover, 20% of older adults have a mental or neurological disorder often not diagnosed. Nationally, it is estimated that 17% of older adults commit suicide, 15% have a mental condition, 11% have dementia, and 5% have a serious mental condition. There is a paucity of adequately prepared primary care providers trained in geropsychiatric treatment. A didactic course was developed to instruct FNP students in the skills needed to provide mental health treatment in primary care. We discuss mental illness in the context of culture to ensure that treatment is congruent with a patient’s unique cultural background and experiences. This shapes the patients’ beliefs and behaviors that influence the way they view their condition and what they perceive as acceptable solutions. We then go into detail about the common mental conditions that older adults exhibit. Through the case study method, students learn to identify the presenting problem, protocols for analyzing the case, which includes making differential diagnoses and a treatment plan including initial medications, non-medical treatments, and referral. Students are introduced to the DMS-5 to learn the criteria for mental health diagnosis with an emphasis on suicide, depressive disorders, anxiety disorders, bipolar disorders, substance use disorders, and neurocognitive disorders. We have found that students most often misdiagnose neurocognitive disorders. Oxford University Press 2020-12-16 /pmc/articles/PMC7740665/ http://dx.doi.org/10.1093/geroni/igaa057.034 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Grando, Victoria
Grando, Roy
Teaching Family Nurse Practitioner Students to Provide Mental Health Care to Older Adults
title Teaching Family Nurse Practitioner Students to Provide Mental Health Care to Older Adults
title_full Teaching Family Nurse Practitioner Students to Provide Mental Health Care to Older Adults
title_fullStr Teaching Family Nurse Practitioner Students to Provide Mental Health Care to Older Adults
title_full_unstemmed Teaching Family Nurse Practitioner Students to Provide Mental Health Care to Older Adults
title_short Teaching Family Nurse Practitioner Students to Provide Mental Health Care to Older Adults
title_sort teaching family nurse practitioner students to provide mental health care to older adults
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7740665/
http://dx.doi.org/10.1093/geroni/igaa057.034
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